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Policy 707Santa Ana Police Department Custody Manual Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Health Evaluation - 1Health Evaluation 707.1 PURPOSE AND SCOPE The purpose of this policy is to establish the process for conducting health evaluations on all incarcerated persons following their arrival at this facility and for the continuity of care for incarcerated persons who remain in custody for extended periods. Further, it is to ensure the incarcerated person's health care needs are met and that health care started at one facility continues as needed. 707.2 POLICY It is the policy of this department that all incarcerated persons will receive a comprehensive health evaluation within 14 days of incarceration. In addition to the initial health evaluation, the person should have an annual evaluation to reassess their health status and to provide access to preventive medicine through education and lifestyle programs. 707.3 INITIAL HEALTH EVALUATION (a)Qualified health care professionals shall have access to the daily incarcerated person roster. From this, they can determine who needs a health evalution and hands-on physical evaluation. The health appraisal should include: 1.A review of earlier medical screening information. 2.Administration of a skin test for tuberculosis (TB). 3.Recording of height and weight. 4.Recording of vital signs (blood pressure, pulse, respiration rate, and temperature). 5.Ordering other tests or examinations as appropriate. 6.The collection of any additional data needed to complete medical, dental, psychiatric, and immunization histories. (b)Data gathered from the health evaluation will be reviewed by a qualified health care professional within 72 hours of the incarcerated person's arrival at the jail, including: 1.Review of the medical screening. 2.Review of the health history questionnaire. 3.Review of all vital signs and TB skin test results. 4.Review of the medical examination, including a review of mental and dental health status. 5.Initiation of treatment or therapy, as appropriate. 6.Development and implementation of a treatment plan, including recommendations for housing, job assignment, and program participation. Santa Ana Police Department Custody Manual Health Evaluation Copyright Lexipol, LLC 2025/04/15, All Rights Reserved. Published with permission by Santa Ana Police Department***DRAFT*** Health Evaluation - 2707.3.1 PRISON RAPE ELIMINATION ACT (PREA) SCREENING FOLLOW-UP Incarcerated persons who have an identified history of sexual victimization shall be offered a follow-up meeting with a qualified health care or mental health provider within 14 days of intake screening (28 CFR 115.81). 707.4 ANNUAL HEALTH EXAMINATIONS The Responsible Physician will determine the criteria for periodic health examinations for incarcerated persons. Incarcerated persons should be scheduled for an annual health examination within 14 days of the person's annual incarceration anniversary (15 CCR 1208.5). The examination should include: •A review of current vital signs and weight. •A TB skin test and review of the results. •An evaluation of any health-related issues arising since the last health evaluation. •Initiation of treatment, as appropriate. •Any updates to the incarcerated person treatment plan. •Any other specific components determined by the Responsible Physician based on the age, gender, and health of the incarcerated person (15 CCR 1208.5).